Remote RN Care Manager – Medicare & Care Coordination

Molina Healthcare, Inc.

Utah

Teletrabalho

USD 36 000 - 82 000

Tempo integral

Há 13 dias

Uma candidatura completa num minuto

Currículo e carta de apresentação personalizados, prontos a enviar.

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Resumo da oferta

Molina Healthcare, Inc. is seeking a remote RN Care Manager to support Medicare members via telephonic case management and care coordination within Pacific Standard Time hours. No direct patient care or night shifts are required, with limited travel (25-40%) based on state contracts.

Previous managed-care experience is highly preferred and CMS guidelines guide the role. You will collaborate with multidisciplinary teams to ensure high-quality, cost-effective member care and coordinate services

Qualificações

  • At least 2 years experience in health care, preferably in care management.
  • Registered Nurse (RN) with active license in practicing state.
  • Valid driver's license and reliable transportation for travel as required.
  • Understanding of EMR and HIPAA regulations.

Responsabilidades

  • Completes comprehensive member assessments per timelines.
  • Develops and implements care coordination plans with care team.
  • Conducts telephonic, in-person or home visits as needed.
  • Monitors care plan effectiveness and documents interventions.
  • Maintains ongoing caseload and coordinates services across settings.
  • Facilitates ICT meetings and collaborates with team.
  • Uses motivational interviewing to educate and motivate members.
  • Assesses barriers to care and provides coordination support.

Conhecimentos

Telephonic case management
Care coordination
Multidisciplinary collaboration
Time management

Formação académica

RN license

Ferramentas

EMR systems
HIPAA knowledge
Microsoft Office

Descrição da oferta de emprego

Molina Healthcare, Inc. is seeking a remote RN Care Manager to support Medicare members via telephonic case management and care coordination within Pacific Standard Time hours. No direct patient care or night shifts are required, with limited travel (25-40%) based on state contracts.

Previous managed-care experience is highly preferred and CMS guidelines guide the role. You will collaborate with multidisciplinary teams to ensure high-quality, cost-effective member care and coordinate services

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